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Referrals

These forms can be used by service  providers who choose to refer youth to the 13th JD Diversion Program.

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The only form that is REQUIRED is the referral. Some providers also prefer to utilize the ROI when making the referral.

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Boy Raising Hand
Image by Jeremy Thomas

Offense Specific Contract

(coming soon)

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Screening & Contract

These forms are used during the onboarding process when a youth is referred for Diversion Services.

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All online forms are HIPPA compliant, housed on a secure server utilizing electronic signatures. Copies are received  by email. 

Smiling Teenage Boy

Diversion Contract

(coming soon)

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